Individual provider Active NPI

Glenna Major, M.D.

  • Psychiatry Physician
  • Radcliff, KY
National Provider Identifier
1225083108
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35834 Issued in KY
Practice address
1072 S Dixie Blvd
Radcliff, KY 40160-1103
Phone
(270) 351-8166
Fax
(270) 351-8322
NPI assigned
May 22, 2006
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35834 KY Primary

Addresses

Primary practice location

1072 S Dixie Blvd
Radcliff, KY 40160-1103

Mailing address

107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 765-2605

Other practice location 1

822 Woodway St
Bowling Green, KY 42101-2771
Phone (270) 901-5000

Other identifiers 4

IdentifierTypeStateIssuer
000000330457OtherKYANTHEM
30605018MedicaidKY
341183OtherKYTRICARE
11574924OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000885 KY Practitioner - Psychiatry 6204866569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Louisville School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Communicare IncGroup PAC ID 9830097815, 26 clinicians
Lifeskills, IncGroup PAC ID 8820902638, 47 clinicians

Practice addresses (Care Compare)

1311 N Dixie Ave
Elizabethtown, KY 42701-2621
Phone (270) 360-0419

822 Woodway St
Bowling Green, KY 42101-2771
Phone (270) 901-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Communicare Inc Current Accepting new patients
Lifeskills, Inc. CurrentSince Jan 5, 2021 Accepting new patients
Communicare Inc CurrentSince Jun 19, 2001 Accepting new patients
Communicare Inc CurrentSince Jun 19, 2001 Accepting new patients
Communicare Inc Past Accepting new patients
Communicare Inc Past Accepting new patients

Locations

8324 Eagle Way
Chicago, IL 60678

331 S 3rd St
Bardstown, KY 40004
Phone (502) 348-9206

380 Suwannee Trail St
Bowling Green, KY 42103

822 Woodway St
Bowling Green, KY 42101

2025 Bypass Rd
Ste 205
Brandenburg, KY 40108
Phone (270) 422-3971

100 Gray St
Elizabethtown, KY 42701
Phone (270) 360-0419

107 Cranes Roost Ct
Elizabethtown, KY 42701

1311 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0419

320 Ring Rd
Elizabethtown, KY 42701
Phone (270) 769-3377

608 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 651-8378

207 Fairgrounds Rd
Hardinsburg, KY 40143
Phone (270) 580-2256

519 Workshop Ln
Lebanon, KY 40033
Phone (270) 259-4652

805 Commerce Dr
Leitchfield, KY 42754
Phone (270) 259-4652

1072 S Dixie Blvd
Radcliff, KY 40160
Phone (270) 351-8166

324 E Main St
Springfield, KY 40069
Phone (859) 336-7746

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1225083108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CRANES ROOST CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013650",
            "telephone_number": "270-765-2605",
            "fax_number": "270-766-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 S DIXIE BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601103",
            "telephone_number": "270-351-8166",
            "fax_number": "270-351-8322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 Woodway St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421012771",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAJOR",
        "first_name": "GLENNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "35834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000330457",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "341183",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11574924",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

Verify at the official NPI Registry.